@pblackburn Patrick, welcome to Mayo Clinic Connect. We are not medical doctors here, but rather fellow members who share their experiences along our health journeys. We cannot diagnose conditions.

The appointment with the rheumatologist next week may be very enlightening for you! No doubt they will be reviewing the tests done to date, and cobbling things together to take the next step. Sometimes additional testing is required to narrow things down, so don't be discouraged if that happens. The world of autoimmune diseases and situations can be pretty confusing, as several will mimic others, or combine. A good trained professional is often needed to get an accurate diagnosis.

Good for you for understanding the symptoms you have experienced. Be sure to take those same notes to your appointment. Write down questions you would like answers to, take notes on what is said, including asking to have things repeated if you don't understand the first presentation. I look forward to hearing from you after the appointment, and what your doctor has to say!
Ginger